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EDITORIAL FOCUS
1National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland; and 2Department of Pathology, Emory University, Atlanta, Georgia
Submitted 10 August 2004 ; accepted in final form 9 October 2004
| ABSTRACT |
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7 mmHg in all groups of mice and reduced SNGFR in WT and ACE 1/3 mice (to 30.9 ± 2.8 and 31.9 ± 2.5 nl·min1·g KW1) while increasing it in ACE 2/2 mice (to 55.3 ± 5.3 nl·min1·g KW1) despite an increase in total renal vascular resistance. The tubuloglomerular feedback (TGF) response was markedly reduced in ACE 1/3 mice (stop-flow pressure change 2.5 ± 0.9 mmHg) compared with WT despite similar blood pressures (8.3 ± 0.6 mmHg). In ACE 2/2 mice, TGF was absent (0.7 ± 0.2 mmHg). We conclude that the chronic lack of ACE, and presumably ANG II generation, in the proximal tubule was not associated with sustained proximal fluid transport defects. However, renal tissue ACE is an important contributor to TGF. nephron filtration rate; proximal fluid reabsorption; tubuloglomerular feedback; angiotensin II kidney weight
Discriminating between the actions of angiotensin II formed systemically or formed locally has been difficult because the standard intervention of administering ACE inhibitors or angiotensin receptor blockers does not distinguish between the endocrine or paracrine pathways. Nonconditional gene deletions have been helpful in delineating the role of the renin-angiotensin system in developmental and global functional aspects but have been unable to address the question of specific, local roles of angiotensin II depending on its place of origin (17, 18). Definitive progress has been made with mouse models in which a nonnative renin substrate has been expressed in proximal tubules exclusively and in which mice with this transgene have been found to develop arterial hypertension (8, 10). Since plasma angiotensin II levels were found to be normal, and high levels of the imported substrate were retrieved in the urine, it appeared as if local generation of angiotensin II in the proximal tubule was responsible for the blood pressure aberration (8, 10).
These observations are in agreement with the evidence that proximal tubules can generate renin substrate and, catalyzed by locally produced or filtered renin, can produce angiotensin I (23). Angiotensin I can be converted to angiotensin II by ACE that is abundantly expressed in the brush border of proximal tubules (6, 35, 37). It has been suggested therefore that proximal tubular reabsorption may be under the control of angiotensin II formed locally in the lumen of the proximal tubule and that such a local action may therefore be responsible for some of the hypertensinogenic actions of the peptide (19, 26).
The present experiments were performed to further study the role of the local renin-angiotensin system in the kidney in controlling proximal tubule function and tubuloglomerular feedback (TGF) responsiveness. Previous studies have shown that deletion of the COOH terminus of ACE generates mice with plasma ACE but without any tissue-associated ACE (ACE 2/2 mice) (14). Thus ACE 2/2 mice lack renal brush border-associated ACE and therefore are incapable of forming angiotensin II in the proximal tubule. Since most of total body ACE activity is represented by enzyme anchored in the membrane of endothelial and epithelial cells, complete elimination of tissue ACE was associated with a marked reduction of blood pressure and a deficiency in overall renin-angiotensin system function (14). The blood pressure abnormality has been corrected in a second line of genetically modified mice in which the ACE gene was ectopically expressed in the liver under the control of the albumin promoter (ACE 3/3). These mice have normal blood pressure despite the lack of all endothelial ACE (6). In the present study, we used a compound heterozygote variant of this strain in which one ACE allele is null and the other ACE allele targets ACE expression to the liver (ACE 1/3) (7). These mice have normal blood pressure and, like the ACE 2/2 and ACE 3/3 mice, lack expression of ACE in the endothelium. The ACE 1/3 mice have only 67% the levels of renal ACE found in wild-type (WT) animals. These very low levels of ACE are detectable throughout the proximal tubule, as opposed to WT mice in which ACE expression increases toward the S3 segment of the proximal tubule (6).
The main goal of the present study was to determine rates of nephron filtration and proximal reabsorption in WT mice and in mice without tissue ACE. Using the micropuncture technique in WT, ACE 2/2, and ACE 1/3 mice, we found that the absence of tissue ACE, and therefore of ACE in the proximal tubule brush border, did not significantly affect the relationship between glomerular filtration rate (GFR) and reabsorption. Thus these observations do not yield evidence that the chronic lack of local production of angiotensin II is associated with major changes in proximal reabsorption under basal conditions.
| METHODS |
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The animals were maintained on standard rodent chow and tap water. Mice were anesthetized with Inactin (100 mg/kg ip) and ketamine (100 mg/kg im). Body temperature was maintained at 38°C by placing the animals on an operating table with a servo-controlled heating plate. The trachea was cannulated, and a stream of 100% O2 was blown toward the tracheal tube throughout the experiment. The jugular vein was cannulated with two hand-drawn polyethylene catheters, one for an intravenous maintenance infusion of 2.25 g/100 ml bovine serum albumin in saline at a rate of 0.5 ml/h and the other for substance injections. The femoral artery was catheterized for measurement of arterial blood pressure and blood withdrawal. Another catheter was inserted in the urinary bladder for continuous urine collection. The left kidney was approached from a flank incision, freed of adherent fat and connective tissue, and placed in a lucite cup adapted for the size of the mouse kidney. The kidney was then covered with mineral oil.
To determine kidney GFR and nephron filtration and reabsorption rates, mice were infused with [125I]iothalamate (Glofil, Questcor Pharmaceuticals, Hayward, CA) at
40 µCi/h. The first blood samples were obtained after 45 min of equilibration. Free-flow micropuncture was performed according to techniques used previously in rats. Briefly, end-proximal segments were identified by injecting a bolus of artificial tubular fluid stained with FD&C green from a 3- to 4-µm tip pipette connected to a pressure manometer. This pipette remained in place during the collections to permit control of intratubular pressure. All proximal collections were done in the last surface segment, and collection times were between 2 and 4 min. Fluid volume was determined from column length in a constant-bore capillary. The sample was then transferred into a counting vial, and radioactivity was determined in a gamma counter. Blood samples were collected in heparinized 5-µl microcaps at the beginning of micropuncture, after 4560 min, and after 110120 min. [125I]iothalamate radioactivity for determination of kidney GFR was measured in duplicate 0.5-µl samples of plasma and urine. Following a control period of 4560 min, angiotensin II was infused at the rate of 2 ng/min (
50 ng·kg1·min1) for the second experimental period of about equal duration. Experiments did not extend beyond 2 h.
Measurements of stop-flow pressure (PSF) during loop of Henle perfusion were done by identifying a late proximal tubule segment from the staining pattern following microperfusion of a randomly selected proximal segment with the FD&C-stained perfusate. The tubule was blocked with wax, the pump was inserted into the last superficial proximal segment, and the pressure pipette was inserted into an early proximal segment recognizable from the widening of the tubular lumen. When PSF had stabilized, the loop of Henle perfusion rate was increased to 30 nl/min and PSF responses were determined. The perfusion fluid contained (in mM) 136 NaCl, 4 NaHCO3, 4 KCl, 2 CaCl2, and 7.5 urea as well as 100 mg/100 ml FD&C green (Keystone).
Renal blood flow. For measurement of renal blood flow (RBF), mice were anesthetized with Inactin (100 mg/kg ip) and ketamine (100 mg/kg im). The left renal artery was approached from a flank incision and carefully dissected free to permit placement of a 0.5PSB nanoprobe connected to a T402-PB flowmeter (Transonic Systems, Ithaca, NY). The probe was held in place with a micromanipulator. The flow signal was digitized and analyzed using PowerLab software (ADInstruments, Colorado Springs, CO). RBF was determined for 10 min, and control values represent the 10-min average. Following baseline RBF measurements, the response of RBF, heart rate, and blood pressure to intravenous bolus injections of angiotensin I (13 and 65 ng) or angiotensin II (10 and 50 ng) was determined in the same animals. In another group of animals, measurements of baseline RBF were followed by a 10-min infusion of angiotensin II at 3 ng/min.
Statistics. Data are given as arithmetic means and variations as SE. Significance comparisons were done with ANOVA in combination with the Bonferroni post hoc test or with the t-test as appropriate.
| RESULTS |
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Proximal fractional reabsorption averaged 51.3 ± 3% in WT and 49 ± 2.3% in ACE 1/3 mice (not significant). In contrast, fractional reabsorption in ACE 2/2 mice was significantly higher, averaging 74.4 ± 3.5%. Rates of proximal tubular fluid reabsorption without and with correction for kidney weight are summarized in Fig. 6. While rates of absorption were significantly lower in both ACE 2/2 and ACE 1/3 than in WT mice when expressed in absolute terms, there were no differences in normalized reabsorption rates between the different genotypes. The relationship between SNGFR and proximal reabsorption showing identical slopes for WT and ACE 1/3 mice indicates that differences in absolute reabsorption reflect differences in kidney weight and not in intrinsic reabsorptive capacity (Fig. 7, top). In contrast, the glomerulotubular balance function was shifted upward in ACE 2/2 mice, reflecting the increased fractional reabsorption. Angiotensin II infusion increased fractional reabsorption to 60.4 ± 3.2% in WT (P = 0.05 compared with control) and decreased it in both ACE 2/2 and ACE 1/3 mice to 55.6 ± 2.3 and 40.8 ± 2.5%, respectively (P = 0.0004 and P = 0.02 compared with control). During the infusion of angiotensin II, the reabsorption rate increased significantly in ACE 2/2 mice compared with control, probably as a result of the markedly increased filtration rate. Reabsorption rates tended to decrease in WT mice, and they fell significantly in ACE 1/3 mice. The relationship between SNGFR and proximal reabsorption rate in individual tubules of WT, ACE 2/2, and ACE 1/3 mice suggests that the infusion of angiotensin II was associated in ACE 1/3 mice with a slight reduction of reabsorption at each level of SNGFR compared with either WT or ACE 2/2 mice (Fig. 7, bottom).
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| DISCUSSION |
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The main goals of the present studies were to assess the effect of a chronically deficient formation of angiotensin II by proximal tubules on proximal fluid reabsorption and to determine the effect of the absence of tissue ACE on TGF. Progress in this area has been made possible by the generation of mice with deficiencies in specific components of the renin-angiotensin system through genetic interventions in embryonic stem cells. In the present study, we used two strains of mice with selected mutations of ACE: ACE 2/2 and ACE 1/3 (7, 14). ACE 2/2 mice, in which the membrane anchoring COOH-terminal domain has been deleted, lack membrane-bound ACE in the lung, kidney, and other tissues. Although some plasma ACE activity is retained, ACE 2/2 mice have reduced plasma angiotensin II levels and a significant reduction in arterial blood pressure (5, 14). ACE 1/3 mice, on the other hand, have been engineered to express ACE in the liver while still lacking all ACE expression in the endothelium (7). These animals have been found to compensate for the genetic modification, and they are able to maintain largely normal blood pressure levels (7).
Our results show that proximal tubular fluid reabsorption of these genetically altered mice was comparable to that observed in WT mice despite the essentially complete absence of tissue ACE. As is well known, proximal fluid reabsorption varied with SNGFR, but the relationship between SNGFR and proximal tubular reabsorption of fluid was not different between WT and ACE 1/3 mice, and it even shifted upward in ACE 2/2 mice as a reflection of an increase in fractional fluid reabsorption (Fig. 6, top). The mechanism for this increase in fractional fluid reabsorption in proximal tubules of ACE 2/2 mice was not explored in this study, but it is likely that it is related in some way to the reduced SNGFR. Our observations are unexpected in view of previous demonstrations that the intratubular administration of converting enzyme inhibitors caused a marked reduction in proximal fluid reabsorption (30) and that the same effect was seen with angiotensin II receptor blockers (31). These findings clearly show that an acute reduction in local angiotensin II formation and action can exert a profound inhibitory effect on fluid reabsorption. We assume therefore that the difference between these previous results and the present data lies in the chronicity of angiotensin II blockade. Chronic ACE deficiency is apparently associated with compensatory events that normalize fluid reabsorption along the proximal tubule. On the basis of these findings, one would not expect that chronic interference with local angiotensin II formation in the proximal tubule plays a major role in the maintenance of reductions in extracellular fluid volume. In fact, careful previous measurements have been unable to show measurable plasma volume contraction in either ACE 2/2 or ACE 1/3 mice (5, 7). A similar discrepancy between the effects of acute and chronic blockade of a transport-regulatory pathway has also been observed during inhibition of adenosine 1 receptors (A1R). While acute A1R blockade with CVT-124 caused a marked inhibition of proximal fluid reabsorption, proximal transport was unaltered in A1R-deficient mice (40, 41). Given the multifactorial nature of the regulation of proximal fluid transport, it is perhaps not unexpected that the chronic elimination of one regulatory input appears to be relatively inconsequential. It would be important to examine the related question of whether extracellular volume expansion can result from chronic overproduction of angiotensin II or other stimulatory transport regulators in the proximal tubule.
The infusion of angiotensin II at doses that caused a mild elevation of blood pressure did not significantly alter the rate of fluid reabsorption in WT mice, although there was a decrease in SNGFR. Thus angiotensin II infusion caused a mild stimulation of NaCl transport for a given SNGFR, shifting the reabsorption-SNGFR function curve slightly upward. Stimulation of proximal reabsorption during systemic infusion of angiotensin II has been described earlier (20). In contrast, fluid reabsorption fell in near proportion to SNGFR in angiotensin-infused ACE 1/3 mice. Since plasma angiotensin II levels in these animals have been found to be three times WT levels (7), it is conceivable that angiotensin II-dependent proximal reabsorption had reached its maximum before the angiotensin II infusion was started and that further increases in plasma angiotensin II were therefore not associated with further stimulation of transport (16). It is also conceivable that the elevated angiotensin II level caused downregulation of AT1 receptors throughout the organism.
In ACE 2/2 mice, angiotensin II infusion produced a marked increase in proximal fluid reabsorption (Fig. 6) that was paralleled by an increase in nephron as well as kidney GFR (Fig. 5) and may thus result from flow dependence of proximal fluid reabsorption, reflecting the well-known phenomenon of glomerulotubular balance. In addition, a direct effect of angiotensin II may contribute to transport stimulation. The cause for the increase in GFR is probably at least partly related to the increase in arterial blood pressure. However, angiotensin II elevated blood pressure to the same extent in WT and ACE 1/3 mice while lowering instead of increasing GFR. It is especially noteworthy that angiotensin II increased GFR in ACE 2/2 mice while at the same time doubling total renal vascular resistance (Fig. 3). Since a preglomerular vasoconstriction would result in a decrease in GFR, one is forced to assume that angiotensin II caused a predominantly postglomerular resistance increase in the ACE 2/2 mouse strain. Modeling suggests that an increase in postglomerular resistance causes an increase in GFR only at very low initial values of efferent resistance (24). Because of the low angiotensin II levels, low blood pressure, and the absence of TGF, it is likely that the glomerular arterioles of ACE 2/2 mice have a rather low resistance under ambient conditions (5). The notion that angiotensin II infused into the low-angiotensin II state of the ACE 2/2 mice may cause a predominantly efferent constriction is feasible in view of the evidence that efferent arterioles are more sensitive to angiotensin II than afferent arterioles when starting from zero angiotensin II, particularly at low pressures (42). The low initial filtration fraction (
7%) and its increase with angiotensin II (to
12%) is consistent with this assumption, although it is in itself no proof for a predominantly efferent constriction (4).
The present studies show that mice without tissue ACE have a markedly reduced capacity to transform changes in luminal NaCl concentration into changes in glomerular capillary pressure. This TGF response deficit is reminiscent of earlier studies in AT1AR and ACE knockout mice from our laboratory (34, 38). Furthermore, pharmacological inhibition of AT1AR and ACE causes a significant reduction in TGF responsiveness (32). Conversely, the administration of angiotensin II by either systemic or peritubular infusion enhances TGF responses (21). The reduction in TGF responses in ACE 2/2 mice may be aided by the markedly reduced blood pressure since blood pressure has been shown earlier to be a determinant of the response magnitude (33). However, our observations in ACE 1/3 mice in which blood pressure was only marginally altered indicate that lack of angiotensin II availability contributes importantly to the attenuation of TGF responsiveness. Since plasma angiotensin II levels in ACE 1/3 mice have been found to be clearly higher than normal, the presence of angiotensin II in the systemic circulation appears to be insufficient to sustain normal TGF responses. It would appear rather that angiotensin II generation by tissue ACE is required to support this function. It is possible that tissue ACE in the vascular wall of afferent arterioles normally provides TGF-relevant angiotensin II. On the other hand, it is also conceivable that angiotensin II generated in the tubular lumen affects NaCl transport across macula densa cells and that this increase in transport enhances the basal sensitivity of the TGF system.
The present studies show that kidneys of ACE 2/2 mice are significantly hypoplastic compared with age-matched WT animals. The reasons for the reduced growth rate are unclear and need to be evaluated further. Reduced kidney weights compared with WT have also been reported in mice with combined AT1AR and AT1BR deficiency, but in this case there was also a proportional difference in total body weight (27). Pharmacological blockade of angiotensin II receptors in neonatal rats also caused reduced somatic and renal growth (39). One of the functional consequences of the reduced kidney mass is that tissue-specific RBF in ACE 2/2 mice was not significantly different from WT, although absolute values were significantly lower in ACE 2/2 than in WT mice. In addition, our data show that the reduction in kidney GFR in ACE 2/2 mice compared with WT was more marked (81%) than that in superficial nephron GFR (58%). One explanation for this observation is that fewer nephrons contribute to total GFR in ACE 2/2 than WT mice. Calculation of the "effective" number of glomeruli from kidney and SNGFR yields values of
24,000 in WT and ACE 1/3 but only
9,000 in ACE 2/2 mice. While this calculation assumes equal rates of filtration in all nephrons of the kidneys and obviously only provides an estimate of the number of glomeruli, the difference appears to be clear and beyond all possible sources of error. A reduced nephron number has also been reported to be associated with neonatal administration of losartan (39). Thus it appears that structural differences are partly responsible for the reduced renal function in ACE 2/2 mice.
In conclusion, our results show that the relationship between proximal tubule fluid reabsorption and filtration rate is comparable between WT mice and two strains of mice that lack tissue ACE activity. Thus the absence of angiotensin II generation in the proximal tubule does not appear to be associated with sustained inhibition of proximal fluid transport that could be directly responsible for volume depletion and reductions of arterial blood pressure. Generation of angiotensin II by tissue ACE contributes importantly to the magnitude of TGF responses.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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